| NPI | 1649255571 |
|---|---|
| Former Name | DANIELA IACONA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: LA 303788) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 007026) |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2017-07-06 |